<HTML>
<HEAD>
  <TITLE>[[title]]</TITLE>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
<link href="themes/pvpgn/pvpgn.css" rel="stylesheet" type="text/css" />
[[js]]
</HEAD>
<BODY>
<FORM METHOD="POST" ACTION="[[self]]">
<P align="center"><a href="http://www.pvpgn.org/"><img src="themes/pvpgn/pvpgn.jpg" width="675" height="87" border="0"></a></P>
<P align="center">
  <div align="center">
    <table width="500" border="0" cellspacing="0" cellpadding="0">
      <tr>
        <td>[[lang_username]]</td>
        <td><div align="right">
          <INPUT TYPE="TEXT" NAME="acct_username" SIZE=40>
        </div></td>
      </tr>
      <tr>
        <td>[[lang_password]]</td>
        <td><div align="right"><INPUT TYPE="PASSWORD" NAME="password1" SIZE=40> </div></td>
      </tr>
      <tr>
        <td>[[lang_confpass]]</td>
        <td><div align="right"><INPUT TYPE="PASSWORD" NAME="password2" SIZE=40> </div></td>
      </tr>
      <tr>
        <td>[[lang_email]]</td>
        <td><div align="right"><INPUT TYPE="TEXT" NAME="acct_email" SIZE=40> </div></td>
      </tr>
      <tr>
        <td colspan="2"><div align="center">
          <INPUT TYPE="Submit" NAME="Submit" VALUE="[[lang_submit]]">
        </div></td>
      </tr>
    </table>
  </div>
  </P>
  <p align="center">[[menu]]</p>
  <p align="center">[[footer]]</p>
</FORM>
</BODY>
</HTML>
